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General NPI Number Information
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NPI Number | 1356933584
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Entity Type | Individual
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Provider Name | IVANE JENNIFER NAVA APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 07/20/2021
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Provider Practice Location Address
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Address Line | 606 W LEONA ST
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City | DILLEY
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State | TX
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Zip | 78017-3705
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Country | US
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Telephone | 830-965-1797
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Fax | 830-965-9913
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Provider Business Mailing Address
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Address Line | 606 W LEONA ST
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City | DILLEY
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State | TX
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Zip | 78017-3705
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Country | US
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Telephone | 830-965-1797
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Fax | 830-965-9913
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1032011
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 789315
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License Number State | TX
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